HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/HazardOus W'aste Unified Permit
CONDITIONS OF ~PERMIT ON REVERSE SIDE
. . ,": This '~ermit is issued for the following:*
[] Hazardous Materials Plan
12] Underground Storage of Hazardous Materials
[] Risk Management program '
[] Hazardous Waste On-Site'Treatment
PERMIT ID # 015-021-002049 - - "
DON E KEITH TRAN~
LOCATION 3010' 93308
OFFICE OF ENVIRONMENTAL SER VICES'.
1715 Chester Ave., 3rd Floor Approved by: //t~--~-t~)
' L. Ra~p~tttuey, D~ i ~ssue Date
Bakersfield, CA 93301 .OfficeofEv~Services '~
Voice (661)'326-3979
FAX(661) 326-0576 Expiration Date: June 30. 2003
ITE DIAGRAM 1~! FACILITY DIAGRAM
Bus,ness Name:. '/~,~. ~. ~ ~
Business Address: ~'~::~t~. 'i~e),c C:~u~e:~.~ 1~:~a~. 't~_li~F~., ~
~ "
: DON E KEITH TRAN: DN SiteID: 015-0212002049
~0
Manager : E~'~,~,~' ~.~ ~%~1-~-~-F~ _~ BusPhone: (661) 322-5031
Location ~~UCK OWENS BLVD .~- Map : 102 CommHaz : Moderate
City : BAKERSFIELD '% Grid: 23B FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 01 ~'x SIC Code:3443
EPA Numb: DunnBrad:
Emergency Contact.,~ Title Emergency C0ntag~' Title
'.Business Phone: (~1) 322-~031x Business Phon~: (661) 322-5031x
24-Hour Phone : (~l) ~-~/x 24-Hour Phone : ( ) - x
Pager Phone :(~1) ~xCELL Pager Phone : (661) ~xCELL
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : ~~%~V %z5~-%~-~ ' Phone: (661) 322-5031x
MailAddr: 2990 BUCK OW~S BLVD State: CA
City : BAKERSFIELD . ~ Zip : 93308
Owner _~~'-~~Mg' ~0~O~(~. ~.~ Phone: (661) 322-5031x
Address :~~VD ~ ~~ State: CA
City : BAKERSFIELD Zip : 9330j
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
!, ~"~ll.l.- ~?_..~ Do hereby ce~i~, that ~ have
reviewed the~--~~~ttach~d h~ardous mmerials manage-
merit
any ~e~ions ~n~itute a compi~ ~nd ~rr~ man-
agemem plan for m~ facili~.
-1- ~i'08/04/2003
F DON E KEITH TRANSPO~TION SiteID: 015-021-002049
Fast Format
~ Notif./Evacuation/Medical 'Overall Site
--Agency Notification 10/18/2000
AFTER EACH CYLINDER CHANGE, THE FITTINGS AND SEALING AREAS ARE TO BE CHECKED
FOR LEAKAGE WITH A SOAPY WATER SOLUTION.
-- Employee Notif./Evacuation 10/18/2000
IF AN EMERGENCY ARISES, ANY EMPLOYEE IS INSTRUCTED TO CALL 911 FOR EMERGENCY
RESPONSE. THEN SCOTT TROGDON AND/OR SCOTT MCGOWAN ARE TO BE CONTACTED AND
THEY WILL CONTACT THE OFFICE OF EMERGENCY SERVICES AT 1-800-852-7550 AND THE
CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES IF NECESSARY.
Public N°tif./Evacuation 10/18/2000
~AND/OR ~ ............ WILL NOTIFY ALL PROPER AUTHORITIES AS
WELL AS ANY CLEAN UP OR PRIVATE RESPONSE CONTRACTORS THAT MAY BE NEEDED.
Emergency Medical Plan 10/18/2000
ANY MEDICAL EMERGENCIES REQUIRING IMMEDIATE RESPONSE WILL BE CONTACTED VIA
THE EMERGENCY 911 SYSTEM. ANY EMERGENCIES DURING WORKING HOURS THAT INVOLVES
A VICTIM THAT CAN BE TRANSPORTED WILL BE TAKEN TO VALLEY INDUSTRIAL MEDICAL
GROUP AT 2501 G ST.
-7- 08/04/2003
+ DO~'E KEITH TRANSPORTATION ~ Site~D:· 015-021-005049 +
Manager : SCOTT MCGOWAN BusPhone (661,) 322-5031
LOcation: q-D~--~UCK OWENS BLVD Map : 102~ CommHaz : MOderate
-City : BAKERSFIELD Grid: 23B .FacUnits:.~ 1 AOV:
Commcode: BAKERSFIELD STATION 01 SIC Code:3443
EPA Numb:, DunnBrad:
+==
Emergency'Contact / Title Emergency Contact / Title
SCOTT MCGOWAN / MANAGER SCOTT TROGDON / MANAGER
Business Phone: (661) 322-5031x Business Phone:~ (661) 322-5031x
· 24-Hour Phone : ( ' ) - x 24-Hour Phone': ( ) - x
-Pager Phone : (661) 201-6641xCELL, pager Phone : (661) 201-6642xCELL
I Hazmat Hazards: Fire Press ImmHlth DelHlth
+-.- ................. ~ ......... ~ ........... ~ +
Contact : SCOTT TRODGON. phOne: (661) 322-5031x
MailAddr: 2990 BUCK OWNES BLVD State: CA
city : BAKERSFIELD Zip : 93308
+---. .......... · ........... ~ .................. . .......
I Owner DON E KEITH Phone: (661) 322-5031x
· AddresS : 2990 BUCK OWNES BLVD State: CA
City '~ ~: BAKERSFIELD ' Zip :, 93308
+- +
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
'l Emergency Directives.: ..~ I
+= Hazmat Inventory ' One Unified List +
+== Alphabetical Order ~ All Materials at Site +
+._' .............................. + ................. + - +-~ .............+ + .... +---+
I Hazmat Common Name.... I~SpecHaztEPA Hazardsl Frm I DailyMax IUnitlMCPI~
.~+ ........... ~r ........... L ....... +~ ...... + ........... + ..... + .......... + .... +---+
ACETYLENE · E F P IH G 400.00 FT3 Hi
ARGON F P IH G 460.00 FT3 Min
ARGON/CARBON DIOXIDE F,P IH G 560.00 FT3 'Min
OXYGEN F IH DH G 488.00 FT3 Low
I, ~°~ ~ Do hereby ce~i~ thru ~ have ;
reviewed th~ a~ached haza~ous materials manage-
me'nt p. lan for~ ~. ~.e-,-rt-~ and th~ it alon~ with .
' (~ame Of BuSina~)
any corrections constitute a complete and corre~ man-
agement plan for my facili~.
01/25/2002
+ ~DON~E KEITH TRANSPORTATION SiteID: 015-021-002049 +
+= InventorY Item 0002 Facility Unit: Fixed Containers at Site +
¥== COMMON NAME / CHEMICAL'NAME ~--4-
'l~l ACETYLENE.. · ~ ~ I Days 365on Site
Location within this Facility Unit' Map: Grid: +- +
WELDING SHOP I CAS#
· " 74 -86-2
+= STATE =+= TyPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE +
I Gas I Pure I Above. Ambient I Ambient I PORT.-PRESS.·CYLINDER
% ~ :========4---- +== +==
% + AMOUNTS AT THIS LOCATION
I Largest Container Daily Maximum I . Daily Average'
~ 200.00 FT3 400.00 FT3 400.00 FT3
~ ~ ==.HAZARDOUS COMPONENTS +===+= ................ +
100.00[Acetylene ,, 748621
~ ~ 7===+ ...... +
+ +===+== .... % ·.HAZARD ASSESSMENTS ===4 + ~+
TSecretl RSIBi°Hazl Radi°active/Am°unt I~EPA Hazards INFPANo No No ~No/ ' Curies F P IH / / / USDOT# MCPIHi
4 ==+===+======4 ==4 =4 ~==: ~ +
+='Inventory Item 0004 Facility Unit.: .Fixed Containers at Site +
+~= COMMON NAME / CHEMICAL NAME . ~ +
"- I-ARGON'Location' 'within' ..... thisl Facility .................. unit ~ ..... ,Map:~ ' ' ......... Grid:· +-I/-Days365On'Site +l
WELDING sHOp . ' ~ CAS#
· 7440-37-1
+= STATE =+= TYPE ===+== pRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE
I Gas I Pure [ Above Ambient ] Ambient [ PORT. PRESS. CYLINDER
~ % ~--- + ~=
% + AMOUNTS'AT THIS LOCATION =.
'1 Largest Container Daily Maximum I Daily~Average
· 3'80.00 FT3 460.00 FT3 380.00 FT3
+ ~ HAZARDOUS COMPONENTS +===~
100.00lArgon 7440371
+ ~ ~===4
+ +===~ + ........... HAZARD ASSESSMENTS ===4 ~ + ..... +
ITSecretl RSIBioHazI Radioactive/Amount I EPA Hazards I NFPA '1 USDOT# ] MCP I
No No No No/ Curies F P IH / / / Min
+ ~===~ ~= ~ + ------~ +=====+
-2-' 01/25/2002
· + DON E KEITH TRANSPORTATION SiteID: 015-021-002049 +
+= Inventory Item'0003 Facility Unit: Fixed Containers at Site
+=~ COMMON.NAME / CHEMICAL NAME ~+ --+
ARGON/CARBON. DIOXIDE I Days. 365On Site
Location within'this Faciiity·Unit Map: 'Grid: + ................
WELDING SHOP I CAS#
'- 7440-37-1
+__=' +-----
+= STATE =' = ==
+ TYPE ===+== PRESSURE ===+ TEMPERATURE ==+== CONTAINER TYPE
I Gas -I Mixture I' Above Ambient I Below Ambient I PORT. PRESS. CYLINDER
4 + ,=====4 %
4 + AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
. 280.00 FT3 560.0.0 FT3 56fl.00 FT3
" ==+= ......... =4
== HAZARDOUS COMPONENTS 7===+
%Wt. RS CAS#
75.00 Argon No 7440371
25.00 CarbOn .DiOxide .. No' 124389
___~ +
+ -===4' + HAZARD ASSESSMENTS ===+ ......... +==: ~ .....
ITsecret.No NoRSIBi°HazINo .Radioactive/AmountNo/. Curies I' EPA Hazards P P IH I NFPA//'/ I USDOT# I' MCPMin
+ ~===+======+~-- ~ =% ==+===== ~
+= Inventory. Item 0001 Facility Unit: Fixed Containers at Site
+== COMMON'.NAME ·/.·CHEMICAL NAME~ _ . . ........... ~
I OXYGEN .. ' Days On Site
365
'Location within this Facility Unit Map: Grid: + .................
· WELDING SHOP CAS#
7782~44-7
+_--
+= STATE=+= TYPE ===+== PRESSURE ===+ TEMPERATURE· ==+ ..... ·CONTAINER TYPE
I Gas I. Pure I .Above 'Ambient .I Ambient I PORT. PRESS. CYLINDER
~ .AMOUNTS AT THIS LOCATION
I LargeSt ~C°ntainer '1' Daily Maximum I Daily Average
244.00 FT3 488.00 FT3 244.00 FT3
+------ ~
4~ 4 HAZARDOUS COMPONENTS +===4
100,.00 Oxygen, Compressed No 7782447
4 4 .... +===+
~ ~===4 ~ HAZARD ASSESSMENTS ===+ 4 + .....
IT'Secretl RSIBioHazl Radioactive/Amount I EPA Hazards NFPA I USDOT# I MCP
No No. No No/ Curies F IH DH / / / . Low
~ ~===4 ~ + ~ ----~--~ +=====+
3 . 01/25/200'2
+ DON E KEITH TRANSPORTATION siteID: 015-021-002049 +
+ ~ Fast Format +
+=',Notif./EvacUation/Medica~ Overall Sit'e +
+== Agency Notification
AFTER EACH CYLINDER CHANGE, THE FITTINGS AND SEALING AREAS ARE. TO BE CHECKED · FOR, LEAKAGE WITH A SOAPY WATER SOLUTION.
.+=== Employee Notif./Evacuation 10/18/2000~ +
IF AN EMERGENCY ARISES, ANY EMPLOYEE IS INSTRUCTED TO CALL 911 FOR EMERGENCY
RESPONSE. THEN SCOTT TROGDON AND/OR SCOTT MCGOWAN ARE'TO BE CONTACTED AND
'THEY WILL CONTACT THE OFFICE OF EMERGENCY SERVICES AT 1-800-852-7550 AND THE
CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES IF NECESSARY.
+-~- +
+ .... Public Notif./Evacuation 10/18'/2000
SCOTT TROGDONAND/OR 'SCOTT MCGOWAN WILL NOTIFY ALL PROPER AUTHORITIES AS
· WELL 'AS ANY CLEAN UP OR PRIVATE RESPONSE CONTRACTORS THAT MAY BE NEEDED.
.Emergency Medical'Plan 10/18/2000 +
ANY MEDICAL EMERGENCIES REQUIRING IMMEDIATE RESPONSE WiLL BE CONTACTED VIA
THE.EMERGENCY.911 SYSTEM. ANY EMERGENCIES DURING WORKING..HOURS THAT INVOLVES
A VICTIM THAT CAN BE TRANSPORTED WILL BE TAKEN TO VALLEY INDUSTRIAL MEDICAL
GROUP AT 250t-~G ST ........................... ..~
-4- 0.1/25/2002
DON E KEITH TRANSPORTATION === ....................... SiteID: 015-021-002049 +
+= Fast Format +
+= Mitigation/Prevent/Abat. emt = Overall Site +
+== ·Release Prevention' 10/18/'2000 +
ALL GAS CYLINDER ARE TO BE SECURED TO THE WALL, IN.'A HARNESS OR OTHER ·
RESTRAINING METHOD AT ALL TIMES'. ALL CYLINDERS NOT iN usE SHALL HAVE. THEIR
SAFETY CAPS ON AND SECURE. ALL GAS' CYLINDERS WILL BE ~STORED SEPARATELY
ACCORDING TO THEIR CONTENTS. ALL EMPTY CYLINDERS WILL BE MARKED AS~SUCH FOR.
EASY RECOGNITION.
+=== Release Containment 10/i8/2000 +
ALL EMPTY CYLINDERS ARE TO BE pICKED UP REGULARLY AND FULL cyLINDERS KEPT TO
AS SMALL AN INVENTORY AS POSSIBLE.
+
+==== Clean Up 10/18/2000 +
ANY RELEASE OF GASSES INTO THE woRK AREA WILL BE'VENTED TO THE OUTSIDE
ATMOSPHERE BY OPENING ALL SHOP DOORS AND WINDOWS. ANY LEAKING DYLINDERS WILL
BE REMOVED FROM SERVICE AND..CAPPED OFF FOR RETURN TO THE VENDOR.
+
Other Resource Activation +
' -5- 01/25/2002
+ DON E KEITH TRANSPORTATION SiteID: 015-02i~002049 +
Fast Format +
+= Site Emergency Factors Overall Site
+== Special Hazards =+
+.
+==='Utility Shut-Offs ' 10/18/2000 .+
A) GAs - NW CORNER OF BLDG
B) ELECTRICAL - MAIN BEHIND BACK DOOR OF.CHIROPRACTOR OFFICE
C) WATER - SHUT OFF BY CURB IN FRONT OF BLDG'
.D) SPECIAL - NONE
E) LOCK BOX - NO
+---- = ~--+
+ .... Fire Pr°tec./Avail. water == 10/18/2000 +
PRIVATE~ FIRE PROTECTION - DRY CHEMICAL FIRE EXTINGUISHERS ARE LOCATED
THROUGHOUT THE BLDG.
NEAREST FIRE HYDRANT - LOCATED ON THE NW CORNER OF PROPERTY.
Building Occupancy Level'
6 01/25/2002
+ DON E KEITH TRANSPORTATION SitelD:'0.15'021-'002049 +
.+= Fast Format +
+= Training Overall Site +
+==.Employee-Training ~. 10/18/2000 +
WE HAVE 3'EMPLOYEES AT THIS FACILITY' -
WE HAVE MSDS SHEETS ON FILE IN THE MAIN..SHOP BY THE TIME CLOCK.
BRIEF'SUMMARY OF TRAINING PROGRAM: ON SITE'TRAINING IS CONDUCTED WHEVER A
',NEW OR UNFAMILIAR PIECE OF EQUIPMENTOR 'SUBSTANCE INTRODUCED. OUR FORMAL
-SAFETY TRAINING INCLUDING MSDS AND HAZARDOUS MATIERAL HANDLING PROCEDURES
ARE CONDUCTED SEMIANNUALLY IN OUR SPRING AND FALL SAFETY MEETINGS.
+=== Page 2 ---+
+==== Held for Future Use.
+
+ ...... Held for.Future Use
I
"-~ ' "i~l CITY OF BAKERSFIEI~i
~s~ o OY~iCE OF ENViRONMENTALnlJERViC~
~l~t ~ 1715 Chester Ave., CA 93301 (661)
x,~ F~lLl~ INFORMATION ~
FACILITY lC) # Year Beginning lOO Year Ending
· ,: .;. 2000 2001
BUSII~ESS NAME (Same as FACILITY NAME or DBA: Doing Business As) 3 BUSINESS PHONE 102
Don E. Keith Transportation (661)322-5031
SiTE ADDRESS
3010 Buck O~ens Blvd.
CITY Bakersfield i~ CA [ ZIP 93308 10s
DUN & t06 SiC CODE lo7
BRADSTREET , ' (4 Digit #) 34/+3
COUNTY Kern
OPERATOR NAME Scott Tro~dn 109 OPERATOR PHONE (661)322-5031 .0
OWNER NAME Don g. Keith -, OWNER PHONE (661)322-5031 112
OWNER MAILING
ADDRESS 29'90 Buck Owens Blvd. 113
CITY Bakerfield 1~4 STATE CA ~5 I ZIP 93308
116
CONTACT NAME Scott Trogdon aa7 CONTACT PHONE (661)322-5031
CONTACT~ILING 2990 Buck ~ens Blvd. ~9
ADDRESS
Cl~ Bakersfte[d~_ ~ STATE CA ~2~ ZiP 93308
NAME Scott He.wan ~m NAME Scott ~Trogdon
TITLE ~anager ~25 TITLE ~nager ~0
BUS~NESSPHONE (661)322-5031 ~s 8OS~NESSPHONE (661)322-5031
24-HOUR PHONE S~e 127 24-HOUR PHONE S~e ~32
PAGER~ Cel 'Phone (661)201-6661 ~20 PAGE~t Cel Phone (661)201-6662
Certificati~m~sed on my inquiry of those individuals responsible for obtaining the information:, I certify under penalty of law that I have personally examined
and am(fami~,'th the information submitted in this inventory and believe the information is true. accurate, and complete.
SIG~OpERATOR . DATE ~34 NAME OF DOCUMENT PREP,~RER
i NAMES OF OWNER/OP_EE~TOR (print) 13s TITLE OF OWNER/OPERATOR 137
Scott Trogdon l~anager
UPCF (7!99) S:\CU PAFORMS\OES2730.TV4.wpd
CITY OF BAKERSFIELD ~
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
1. To avoid further action, return this form within 30 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible..
5. You may also attach Business Owner / Operator Form and Chemical Description Form(s)
to the front of this plan instead of completing SECTION I. below for initial submission.
SECTION I: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: Don E. Keith Transportation "
LOCATION: 3012 Buck Owens Blvd. Bakersfield~ California 93308
~LAILING ADDRESS: 2990 Buck Owens Blvd.
CITY: Bakersfi~ldd STATE: Cal'ifF.~: 93308 PHONE: .(66'1}322-5031
PRIMARY ACTMTY: Trucking
OWNER: Don E. Keith "P'H0~: (661)322-5031
MAILING ADDRESS: 2990 Buck Owens Blvd. Bakersfield, California 93308
EMERGENCY NOTIFICATION
CONTACT '~ TITLE BUS. PHONE 24 HR. PHONE.
1. Scott Trogdon Manager · (661)322'-5031. Same
2. Scott Mc~owan Manager , (661)322-5031 Same
1
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II. 1: DISCOVERY AND NOTIFICATIONS .'
A. LEAK DETECTION AND MONITORING PROCEDURES:
After each 'cylinder change, the fittings and sealing areas are to be checked
for leakage with a soapy water solution.
B.' EMPLOYEE AND AGENCY NOTIFICATION:
If an emergency arises, any employee is instructed to call 911 for emergency
response. Then Scott Trogdon and/or Scott HsGowan are to be contacted and
:i'?"~,:£2they will contact the office of Emergency Services at 1-800-852-7550,and
the City of Bakersfield Office of Environmental Services if necessary~
· C. EN~RO~NTAL RESPONSE MANAGEMENT:
Scott Trogdon and/6r,rScot-t:2:McGowan~:,will'}:,notify ail proper~quthorities as
well as any clean up or private response contractors that may be needed.
D. EMERGENCY MEDICAL PLAN:
Any medical emergencies requiring immediate response will be contact6d
via the emergency "911" system. Any emergencies during working hours
that involves a victim that can be transported~?~oill be taken to Valley
f.::4:z:;,;zi,Indugtri~lT.Hedical Gg6~p~ 250},,~G" Street.
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II.2: RELEASE RESPONSE PLAN
A. HAZARD ASSESSMENT AND PREVENTION MEASURES:
All gas cylinders are to be secured to the wall, in a harness or other
restraining method at all times. All cylinders not in use'shall have
their safety caps on and secure. All gas cylinders will be stored separately
according.to their contents. All empty cylinders will be marked as such for
easy recognition.
B. RELEASE CONTAINMENT AND/OR MITIGATION: ' -
All empty cylinders are to be pick6d up regularly and full cylinders
kept to as small an inventory as possible.
C. CLEAN-UP AND RECOVERY PROCEDURES:
Any release of gasses into the work area~:will be vented to the outside :"'~::~o~'p~r~
atmosphere by opening all shop doors and windows. Any leaking cylinders
will be removed from service and capped off for return to the vendor.
UTILITY SHUT-OFFS(LOCATION OF SHUT-OFFS AT YOUR FACILITY)
NATURAL GASfPROPANE: Gas service is located on NOrthwest corner of building.
ELECTP~CAL: Power main is just behind back door of chiropractor office.
-WATER: Nater shut off is by the curb in front of the building.
SPECIAL:
LOCK BOX: YES,NO 'IF YES; LOCATION: .-
PRI-VA~E F'IRE PROTECTION/WATER AVAILABILITY
~-~ck"-:':'~ ~':'~' "~i':~'~ .......'; ...... ~ ~'; .... "' ,~c~ ~ ~?~,;'~ ,.~ ,c~':. ¥-~.~ ~ ~ ~ ~-~
A. P~VATE FI~ PROTECTION:
D~ che~l fire extin~ishers are located thoughout the building.
B. . WATER AVAIL~ILITY (FI~ H~~T):
~ere isz;a city hydrant located on the Northwest comer of the property.
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION III: TRAINING
NUMBER OF EMPLOYEES~ 2
MATERIAL SAFETY DATA SHEETS ON FILE: ,~n~:the Hain Shop by the time clock.
'BRIEF SUMMARY OF TRAINING PROGRAM: .On site training is conducted whenever
a new or unfamiliar piece of equipment or substance .introduced. 'Our formal
· safety training including MSDS and hazardous material handling, procedures
are conducted semi-annually in our Spring and Fall safety meetings.
CERTIFICATION
I, Scott Trogdon CERTLFY THAT THE ABOVE [NFORMATION
IS ACCURATE. I UNDERSTAND THAT THIS ~FORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CAL~ORNIA HEALTH AND SAFETY
CODE" ON HAZARDOUS MATERIALS 0)IV. 20 CHAPTER.6.95 SEC. 25500 ET AL.) AND
E [N-FORMATION CONSTITUTES PERJURY.
_Hanager 8 / 21 / 0 0
TITLE DATE ·
4
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
"~*'"~~""*' ~ HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one form per mat~tfal per building or ama)
[] NETM [] ADD [] DELETE [] REVISE 200 Page __ of __
BUSINESS ~M~ (~me ~ ~ACILI~ ~M~ ~ DBA - ~n9 Bu~n~ ~) 3
Don E. Keith Transportation
201
CHEMI~L LO~TION . CHEMISE LO~TION ~ Y~
3~17 R.ek ~en~ Rlvd. . _ ' ~NFIDENTIAL(EPC~)
1 ~P ~ (op~naO * ~3 GRID ~ (opt~naO
FACILI~ ID, ~ ~, 2~ ~_
. ~. ~.~ :~¥~:.~'~ ..... ;:.. :?;~:~::~:~ ~ ~ ,~..' ..~:~ ~:~ :~ ;¥:~:~ ~?' ~':. ~.~.~
205 T~DE SECRET ~ Y~
CHEMICAL ~ME
~ge~ (compgessed) gas E~li~deg) ~f Subj~ to EPC~. r~to
207
~S ~ 209 ~.~ !~ EHS fi,:Y", ~ ~ ~
FIRE ~DE H~RD C~SSES (~plete if r~u~t~ by I~1 fire ~i~
210
~PE - ~ p PURE . D m MITRE ~ w WASTE 211 ~DIOA~NE ~ Y~ ~No 212 CURIES 213
P~SI~LSTA~ · ~ s SOLID ~I'LIQUID ~ g ~S ... 214 ~RGEST~AINER ~ ~ 215
FED H~RD ~TE~RIES ~ 1 FIRE ~ R~ . ~ 3 PRESSURE REL~SE ' ~ 4 AC~E H~LTH ~ 5 CHRONIC H~TH 216
(~ all that apply).
ANNU~ WASTE 217 ~ ~I~M 218 AVENGE 219 STA~ WAS~ ~DE 2~
A~U~ DAILY A~U~ ~88 ~C~ DAILY A~U~ 2~
I
DAYS ON ~ITE 222
UNITS* ~ ga ~L ~ d CU ~ ~ lb LBS D tn TONS
' ~ ff EHS, am~nt must be in lbs.
STOOGE ~AINER '~ a ~vc~u,~ ~ e P~STI~ONMETALLIC DRUM ~ i FIBER DRUM ~ ,,, G~SS BO~LE ~ q ~IL ~R 223
(Check all ~at apply) '
~ b UNDERGROUND TANK ~ f ~N ~ j BAG ~ n P~STIC BO~LE ~ r O~ER
~ c T~K INSIDE BUILDING ~ g ~R~Y ~ k BOX ~ o TO~ BIN
~ d S~EL DRUM ~ h SILO ~ CYLINDER ~ p TANK WAGON
STOOGE PRESSURE ~ a AMBIE~ ~ aa ABOVE A~IE~ ~ ba BELOWA~IENT 224
STOOGE TEMPE~TURE ~ a ~MBIE~ ~ aa A~VE AMBIE~ ~ ba 8ELOWAMBIENT ~ c CRYOGENIC
=~,~ ~ ,~,? %~:~ ~~ ~,~'?~ ~RD OOSCOMPGNE~:. ~ .:;/~ ~.,~;~,:~ ?~ ~ ~:~ ~ ~ ~j~ ~; ~,;~:'~:~=n~ :~.;~:~: ~ ~ ;~.~:~.~%~ ~ CAS ~:::'
~ 100 226 ~gen =7 D Y. ~ No 228
2 ~0 ~1 DY~ DNo~2 ~3
3 ~ ~5 ~ Y~ ~ NO 236 237
4 ~8 ~9 ~ Y~ ~ No 240 241
5 242 243 ~ Y~ ~ NO 2~ r.,, 245
~RI~ ~ & ~LE'~ AU~'~E~'~ RE~N~TI~ ~"' ~ "'~"' ~ ' DATE` ~46
'Scott T:o~doa/~aaage~ . ' ~~ ~ 8/21/00
UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd
FMI W OFFICE OF ENVIRONMENTAL SERVICES
t ' nt r_ J rr 1715 Chester Ave., CA 93301 (661) 326-3979
H RDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one ~ per mate~al per building or ama)
~ NEW ~ ADD ~ DELETE ~ REVISE 200 Page ~ of
..... ~ ~:~ ,,: ~.~:,~:~.:~,~.~,~:~ ~-I~FACIE~,IHF~MA~M.~ ,:~ ...... .~:: ~.. :~ ~:~,: :.~,,~ ~: ,~ ~.~: . ..: :,.
BUSINESS ~ME (~me ~ FACILI~ ~ME ~ DBA - ~ng Busin~ ~) 3
Don E. Keith Transportation
CHEMI~L LO~TION 201~ CHEMI~L LO~TION ~ y
205 T~DE SECRET ~ Y~ ~No
CHEMICAL ~ME
AceL~le~e (compressed Aas c71~de~) ~f Subj~ to EPC~, ref~ to insulins
· ~7
COM~N ~ ' EHS* ~ Y~
Acetylene
FIRE ~DE H~D C~SSES (~plete if ~u~t~ by I~1 tim ~i~
210
~PE ~ p PURE ~ m MITRE ~ w WASTE 211 ~DIOA~NE ~Y~ ~No 212 CURIES 213
PHYSI~LSTA~ ~ s SOLID ~ ~1 LIQUID ~ g ~S 214 ~RGEST~AINER ~00 SC~ 215
FED~RD~TE~RIES ~1 FIRE : ' ~2 R~I~ ~3 PRESsuREREL~SE ~4 ACUTEH~L~ ~5 CHRONICH~LTH 216
(Ch~ all that apply)
ANNU~ WASTE . 217 ~I~M 400 SCl 218 AVENGE ~00 SCl 210 STA~ WAS~ ~Oa 220
A~U~ DALLY A~U~ DAILY A~U~
. DAYS ON SITE
400 UNITS' D;a~L .. ~CU~ .~[~LSS .DmTONS ~ ·
· E EHS, am~nt mu~ be in lbs.
STOOGE CO~AINER ~ a A~VEGROUND T~K ~ e P~STI~ONMETALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE D q ~IL ~R
(Check afl ~at apply)
~b UNDERGROUND TANK ~f ~N ~j BAG ~n P~STIC BO~LE ~r OTHER
~ c TANK INSIDE BUILDING ~ g ~R~Y ~ k 8OX ~ o TO~ B;N
D d S~EL DRUM. ~ h SILO ~ CYLINDER ~ p TANK WA~N
STO~GEPRESSURE · ~ a AMBIE~ "~ aa ABOVEAMBIE~ ~ ba BELOW A~IENT
STOOGE TEMPE~TURE . ~ a A~IE~ ~ aa A~VEAMBIE~ ~ ba BELOWAMBIE~ ~ c CRYOGENIC
226 227 [] Yes ~] No 228 229
lO0 Acetylene
230 231 [] Yes [] No 232 233
234 235 [] Yes [] No 236 ' 237
238 239 [] Yes [] No 240 241
242 243 [] Yes [] No 244 7' 245
PRINT NAME & TITLE OF AUTHOR[ZED COMPANY REPRESENTATIVE DATE 246
Scott Trogdon/Manager 8/21/00
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B~~Ta~_~, CITY OF BAKERS FIt~O
~ .'"'1.'i'4' ~ OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
"~~'~' H~RDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one ~ per mateHal per building or ama)
~ NEW ~ ADD * ~ DELETE ~ REVISE 200 Page
BUSINESS ~ME (~me ~ FACILI~ ~ME ~ DBA - ~ng Busin~ ~) 3
Don g. Keith Transportation
I
CHEMI~L LO~TION ~1 CHEMI~L LO~TION ~ Y~ ~ No 202
~01 ~ ~Ii~E ~e~g ~l~d. CONFIDENTIAL(EPC~)
205 T~E SECRET
CHEMICAL ~ME
75/25 Argon/C02 m~x (confessedlY:gas cylinder) IfSubj~toEPC~.ref~loinstm~s
207
COM~ '~r~o~/C02 --~ EHS*
FIRE ~DE H~RD C~SSES (~plete if r~u~t~ by I~1 fire
210
~PE ~ p PURE ~ m MITRE '~ w WASTE 211 ~DIOACTNE ~ Y~ ~ No 212 CURIES 213
PHYSI~LSTA~ ~ s SOLID ~1 LIQUID ~ g ~S 214 ~RGEST~AINER 280 SC~ 215
(~FED ~RDall that apply)~RIES ~ 1 FIRE ~ 2 R~ ~ 3 PRESSURE REL~SE D 4 ACU~ H~L~ ~ 5 CHRONIC H~TH 216
ANNU~WASTE 217 J ~I~M 218 AVENGE 219 STA~WASTE~DE 220
A~U~ DAILY A~U~ 5~0 SCl DAILY A~U~ ~0
~60 UNITS' ~ ga~L ~ ~ CU~ ~ lb LBS D m TONS 221 DAYSONSITE 2~
· ~ EHS. ~nt must be in lbs.
STOOGE ~AINER ~ a ~nuvc~umu ~ ~ e P~STI~u~e I~LLI~ U~UM ~ i YlgE~ ~UM
(Check a/I ~at app,) ~ m ~ ~U I I LE ~ q ~IL ~R 223
~ b UNDERGROUND TANK ~ f ~N ~ j BAG: ~ n P~STIC BO~LE ~ r OTHER
~ c TANK INSIDE BUILDING ~ g ~R~Y ~ k BOX ~ o TOTE BIN
~ d S~EL DRUM ~ h SILO ~1 CYLINDER ~ p TANK WA~N
STOOGE PRESSURE ~ a A~iE~ ~ aa A~VEA~IE~ ~ ba BELOW AMBIENT ~4
STOOGE TEMPE~TURE ~ a A~IE~ ~ aa A~VEA~IE~ ~ ba 8ELOWA~JE~ ~ c CRYOGENIC
1 75 ~6- Atgon ' _ ~7 ~ Y~ ~o 228 2~
2 2~ ~0 CO2 231 ~ Y~ ~No 232 233
3 ~4 ~5 ~ Y~ ~ No 236 237
4 ~8 ~9 ~ Y~ ~ No 240 241
5 242 243 ~ Y~ ~ No 2~ ~,, :: 245
SIG~IURE ..... DATE 246Sco~ Trogdon/~anager '
PRINT ~ME & TIT~ OF AU~OR~ED COMPA~ ~SENTATIVE
UPCF (7/99) - ' S:XCUPAFORMS{OES2731.~4.wpd
I rtttt I OFFICE OF ENVIRONMENTAL-SERVICES
1715.Chester Ave., CA 93301 (661) 326-3979
CHEMICAL DESCRIPTION
(one ~ per matedal per building or a~a)
D NEW ~ ADD ~ DELETE ~ REVISE 200 Page ~ of
BUSINESS ~ME (~me ~ FACILI~ NAME ~ DBA - D~ng Busin~ ~) 3
Don E. Keith Transportation
CHEMICAL LO~TION 201. ~NFIDENTIALCHEMICAL LOCATION(EPC~)~ Y~ ~ No 202
FACIL ~ ID ~ ~ ~ : ',. 1 ~ (op~na~ 203 GRID ~ (op~naO 2~
205 T~DE SECRET ~ Y~
CHEMICAL ~E
Argon (c~pressed gas cylinders) ,f Subj~ to EPC~. refer to inst~ons
207
COHEN ~ME ' EHS* ~ Y~ ~o 2~
Argon
~S ~ 209 ~If. EHS m~Y~ ~, ~ ~5 ~low~must:~
FIRE ~DE H~RD C~SSES (~plete if ~u~t~ by I~1 fire ~i~
210
~PE ~ p PURE ~ m MITRE ~ w WASTE 211 ~DIOACTIVE ~ Y~ ~ NO 212 CURIES 213
PHYSICAL STA~ ~ s SOLID , ~1 LIQUID ~ g ~S .214 ~RGESTCO~AINER 380: scl 215
FED H~RD ~TEGORIES ~ 1 FIRE ~ 2 REA~IVE * ~ 3 PRESSURE REL~SE *~ 4 ACU~ H~L~ ~ 5 CHRONIC H~LTH 216
(~ all that apply)
ANNUAL WASTE 217 ~I~M 218 AVENGE 219 STA~ WASTE ~DE
A~U~ DAILY A~U~ DAILY A~U~
D~S O. S,TE
760 U.,TS' ~ ~a ~t M ~ CU ~ . D ~ res D ~ TONS ee~ 365
' * ff EHS, amount must be in lbs.
STOOGE CONTAINER ~ a ABOVEGROUND TANK ~ e' P~STI~NONMETALLIC DRUM ~ i FIBER DRUM D m G~SS BO~LE ~ q ~IL CAR 223
(Check afl ~at apply) ~ '
D b UNDERGROUND TANK ~ f ~N ~ j BAG ~ n P~STIC BO~LE ~ r OTHER
~ C TANK INSIDE BUILDING ~ g ~R~Y ~ k BOX ~ o TOTE BIN
~ d S~EL DRUM ~ h SILO ~ I CYLINDER ~ p TANK WAGON
STOOGE PRESSURE ~ a AMBIE~ ~ aa ABOVE AMBIE~ ~ ba BEEOWAMBIENT ~4
STOOGE TEMPE~TURE ~ a A~IE~ D aa A~VE AMBIE~ ~ ba BELOW AMBIE~ ~ c CRYOGENIC ~5
226 Argon 227 [] Yes ~:] No 228 229
230 231 [] Yes [] No 232 233
234 235 [] Yes [] No 236' 237
238 239 [] Yes [] No 240 241
242 243 [] Yes [] No 244 245
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE DATE 24e
Scott Trogdon~Manager -- 8/21/00
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CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~ ~- /~,'r~4 T,a.a~.g, INSPECTION DATE
ADDRESS ~3012.- ~oc_~ Ot.~-.o~ PHONE NO.
FACILITY CONTACT BUSINESS ID NO. 15,210-
INSPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
'~-.Routine [] Combined ~ Joint Agency [~ Multi-Agency [] Complaint [] Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address
Correct occupancy
Verification of inventory materials
Verification of quantities
Verification of location
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: ]~t-Yes
Explain: (,~C'"O O/t_~ ~ ~o~(_.-t-
Questions regarding this inspection? Please call us at (661) 326-3979 risible Party
White - Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: {-~ r~--~
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME T~cg~ ~ .- t~E:,~'~ ~ INSPECTION DATE 7/'Laj/2-oeaO
Section 4: Hazardous Waste Generator Program EPA ID #
:i~ Routine [] Combined El Joint Agency [] Multi-Agency [] Complaint [] Re-inspection
OPERATION C V COMMENTS
Hazardous waste determination has been made
EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #)
Authorized for waste treatment and/or storage
Reported release, fire, or explosion within 15 days of occurrence
Established or maintains a contingency plan and training
Hazardous waste accumulation time frames
Containers in good condition and not leaking
Containers are compatible with the hazardous waste
Containers are kept closed when not in use v,/ /"JO ~ P~'"~ ~ ~ "'~.,J~'d~
Weekly inspection of storage area
Ignitable/reactive waste located at least 50 feet from property line
Secondary containment provided .. _
Conducts daily inspection of tanks ~ _
Used oil not contaminated with other hazardous waste J t, , '
Proper management of lead acid batteries including labels
Proper management of used oil filters
Transports hazardous waste with completed manifest
Sends manifest copies to DTSC I.._
Retains manifests for 3 years -.
Retains hazardous waste analysis for 3 years
Retains copies of used oil receipts for 3 years
Determines if waste is restricted from land disposal
C=Compliance V=Violation
Inspector: {_~.) t t~t~--~
Office of Environmental' Services (661) 326-3979 Busim ;ponsible ~arty
White - Env. Svcs. Pink - Business Copy